Active NPI
Arielle Linda Penn, LCSW
- Clinical Social Worker
- Encino, CA
National Provider Identifier
1992906861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21856
- Practice address
- 16055 Ventura Blvd
Suite #420
Encino, CA 91436 - Phone
- (310) 892-7435
- Fax
- (818) 989-4356
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21856 | CA | Primary |
Addresses
Primary practice location
16055 Ventura Blvd
Suite #420
Encino, CA 91436
Mailing address
5534 Sylmar Avenue #1
Sherman Oaks, CA 91401
Phone (310) 892-7435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS21856 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
Other names 1
- Ms. Arielle Linda Abergel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21856 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1992906861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 SYLMAR AVENUE #1",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91401",
"telephone_number": "310-892-7435",
"fax_number": "818-989-4356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16055 VENTURA BLVD",
"address_2": "SUITE #420",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "310-892-7435",
"fax_number": "818-989-4356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "ARIELLE",
"middle_name": "LINDA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LCS21856",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARIELLE",
"last_name": "ABERGEL",
"middle_name": "LINDA",
"prefix": "MS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.